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(415) 751-0583Posted August 06, 2024 in Headache Surgery, Occipital Neuralgia
Dr. Ziv Peled recently presented Grand Rounds at Yale University’s Division of Plastic Surgery on the over 20-year evolution of headache surgery. Take a look at the first part of this video to learn more…
Read MorePosted August 05, 2024 in Sensation Preserving Mastectomy
This picture is the first of it’s kind to my knowledge. It is from a recent sensation preserving mastectomy case. The mastectomy has been completed and the sizer is in place to gauge how big an implant to place a few moments later. What you can see is an intercostal nerve that I was able to preserve 8.3 cm of length […]
Read MorePosted August 04, 2024 in Occipital Neuralgia
I always knew it was just a matter of time and it finally happened. I was speaking with a patient of mine who was a bit more than one year out from her occipital neuralgia operation. She was doing extremely well with “over 90% relief” at the one-year mark, when she was diagnosed with COVID-19. […]
Read MorePosted August 01, 2024 in Headache Surgery, Nerve Pain
I have been asked recently to write a little something about so-called “rebound headaches”. This topic can be quite confusing, and as you will read, is not very well understood. The precise medical term for this disorder is Medication Overuse Headache (MOH) or analgesic rebound headache. The prevalence of this problem is about 1% in […]
Read MorePosted July 30, 2024 in Nerve Pain, Occipital Neuralgia
This query is one of the great ones – a $64,000 question that continues to be raised both in my office as well as online. What is the difference between neurectomy/muscle implantation (i.e., transection of the nerve and implanting it in the local muscle) and decompression? Along with this primary query come many misconceptions […]
Read MorePosted July 29, 2024 in Occipital Neuralgia
This question is one of the most common articulated in my office and I believe represents an underappreciated component of our everyday lives that can certainly impact many facets of our health including our nervous system function. In this post, I will focus on the effects of stress on the mechanical forces impacting the peripheral nerves as […]
Read MorePosted July 27, 2024 in Nerve Pain
I’ve noted that there has been some confusion lately over the roles of nerve blocks, nerve stimulators and nerve decompression in the treatment of chronic headaches. To be sure, there will be variations in how each clinician uses these modalities, if only because each patient presents a unique clinical scenario. While I certainly can’t speak […]
Read MorePosted July 25, 2024 in Headache Surgery
Perhaps one of the most common questions I get asked is, “What is recovery like?” How much time do you have? There are so many facets to this question that it is often something worth spending a bit of time on with your surgeon before any operative procedure. While I wish there were a single, short answer, […]
Read MorePosted July 24, 2024 in Headache Surgery, Nerve Pain, Occipital Neuralgia
I hear this question a lot from just about every patient I see, whether for chronic headaches or tarsal tunnel syndrome. The answers have to do with the technical aspects of the surgical procedure, the physiology of peripheral nerves as well as the wound healing process itself. As you can imagine, a compressed nerve […]
Read MoreNavigating chronic pain can feel isolating. You don’t have to do it alone.
Dr. Peled is active in several online nerve pain communities, particularly those focused on specific conditions, such as occipital neuralgia. He shares general advice, answers questions, and provides support for those seeking clarity about their condition.
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